Pregnancy Terminology and Concepts
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What does the term 'gravidity' refer to?

The number of pregnancies a woman has had, including the current pregnancy.

What is the definition of 'parity'?

The number of viable births a woman has had after 20 weeks of gestation.

What is the term for a woman who has never given birth?

Nullipara

What is the term for a woman who has given birth for the first time?

<p>Primipara</p> Signup and view all the answers

What is the term for a woman who has given birth to two or more children?

<p>Multipara</p> Signup and view all the answers

The minimum gestational age for fetal viability is ______ weeks.

<p>20</p> Signup and view all the answers

What is the total expected length of a pregnancy, measured in weeks?

<p>40 weeks</p> Signup and view all the answers

What is the term for a pregnancy that ends before 37 weeks of gestation?

<p>Preterm</p> Signup and view all the answers

What is the term for a pregnancy that ends between 37 and 42 weeks of gestation?

<p>Term</p> Signup and view all the answers

What is the term for a pregnancy that ends after 42 weeks of gestation?

<p>Postterm or Postdate</p> Signup and view all the answers

What does the acronym GTPAL stand for?

<p>Gravidity, Term Births, Preterm Births, Abortions, Living Children (B)</p> Signup and view all the answers

A woman is pregnant with her 4th child. She has twins born at 34 weeks, and a daughter born at 41 weeks. She has no history of spontaneous or medical abortions. What is her GTPAL?

<p>3-1-1-0-3</p> Signup and view all the answers

What is Naegele's rule used for?

<p>Calculating the estimated due date (EDD) of a pregnancy.</p> Signup and view all the answers

A woman's LMP was November 1st of 2022. What is her EDD using Naegele's rule?

<p>August 8, 2023</p> Signup and view all the answers

What is the term for subjective signs of pregnancy?

<p>Presumptive signs</p> Signup and view all the answers

Which category of pregnancy signs is considered definite?

<p>Positive signs</p> Signup and view all the answers

Which of the following is NOT a presumptive sign of pregnancy?

<p>Fetal movement palpated (A)</p> Signup and view all the answers

Which of the following is NOT a probable sign of pregnancy?

<p>Fetal heartbeat detected (B)</p> Signup and view all the answers

Which of the following is considered a definitive sign of pregnancy?

<p>Delivery of the baby (C)</p> Signup and view all the answers

What term refers to a woman's first awareness of fetal movement?

<p>Quickening</p> Signup and view all the answers

Which of the following is NOT a component of the biophysical profile (BPP)?

<p>Fetal kick count (C)</p> Signup and view all the answers

What is the purpose of a nuchal translucency test?

<p>It screens for chromosomal disorders like Down syndrome.</p> Signup and view all the answers

The Healthy People 2030 Goals aim to increase the rate of preterm births in the United States.

<p>False (B)</p> Signup and view all the answers

Progesterone is a hormone that helps to stimulate uterine contractions.

<p>False (B)</p> Signup and view all the answers

Relaxin is produced primarily by the ovaries.

<p>False (B)</p> Signup and view all the answers

Prolactin's primary role is in stimulating breast milk production.

<p>True (A)</p> Signup and view all the answers

HCG is a hormone that helps to prevent menstruation during pregnancy.

<p>True (A)</p> Signup and view all the answers

Oxytocin is responsible for stimulating uterine contractions during labor.

<p>True (A)</p> Signup and view all the answers

A daily intake of 600 mcg of folic acid is recommended to help prevent neural tube defects.

<p>True (A)</p> Signup and view all the answers

Which of the following medications is NOT classified as a tocolytic?

<p>Hydralazine (B)</p> Signup and view all the answers

What is the mechanism of action of Terbutaline?

<p>It increases cAMP levels to relax smooth muscles.</p> Signup and view all the answers

What are the potential side effects of Nifedipine?

<p>Bradycardia and hypotension.</p> Signup and view all the answers

What are the potential adverse effects of Magnesium Sulfate when used as a tocolytic?

<p>Respiratory depression and absence of deep tendon reflexes.</p> Signup and view all the answers

What is the purpose of administering Betamethasone to a pregnant woman?

<p>To stimulate the production of lung surfactant in the fetus.</p> Signup and view all the answers

Infertility is defined as the inability to conceive after 12 months of trying.

<p>True (A)</p> Signup and view all the answers

Clomid is a medication commonly used to stimulate ovulation for infertility.

<p>True (A)</p> Signup and view all the answers

IVF is a highly ethical procedure and does not raise any concerns.

<p>False (B)</p> Signup and view all the answers

What is the main concern associated with an ectopic pregnancy?

<p>Hemorrhage and infection.</p> Signup and view all the answers

Placenta previa is a medical emergency.

<p>False (B)</p> Signup and view all the answers

Placenta abruption is a medical emergency.

<p>True (A)</p> Signup and view all the answers

Gestational hypertension is considered a condition of high blood pressure that occurs after 20 weeks of gestation.

<p>True (A)</p> Signup and view all the answers

HELLP syndrome is a condition that can occur as a complication of severe or untreated preeclampsia.

<p>True (A)</p> Signup and view all the answers

Hypoglycemia is the greatest concern for a newborn with gestational diabetes.

<p>True (A)</p> Signup and view all the answers

Hyperemesis gravidarum is a condition that is characterized by excessive vomiting during pregnancy, and the greatest concern is the risk of electrolyte imbalances.

<p>True (A)</p> Signup and view all the answers

Smoking during pregnancy is associated with a higher risk of IUGR (intrauterine growth restriction) in the fetus.

<p>True (A)</p> Signup and view all the answers

Alcohol use during pregnancy is not associated with any negative effects for the fetus.

<p>False (B)</p> Signup and view all the answers

Marijuana use during pregnancy has been shown to improve the neurological development of the fetus.

<p>False (B)</p> Signup and view all the answers

IUFD is defined as the death of a fetus that occurs before 20 weeks of gestation.

<p>False (B)</p> Signup and view all the answers

An incompetent cervix is a condition that can occur during the second trimester of pregnancy and is characterized by premature dilation of the cervix.

<p>True (A)</p> Signup and view all the answers

TORCH infections are a group of infections that can cause serious complications for both mother and fetus.

<p>True (A)</p> Signup and view all the answers

Group Beta Streptococcus (GBS) is an overgrowth of normal flora that can cause complications for the newborn.

<p>True (A)</p> Signup and view all the answers

RhoGAM is given to all mothers to prevent complications in future pregnancies.

<p>False (B)</p> Signup and view all the answers

Newborn babies with gestational diabetes are at risk of hypoglycemia.

<p>True (A)</p> Signup and view all the answers

A healthy fetus should not sleep for more than 30 minutes at a time.

<p>True (A)</p> Signup and view all the answers

A healthy fetus will make 10 or more kicks in a 1-hour period.

<p>False (B)</p> Signup and view all the answers

When is a woman's first awareness of fetal movement usually felt?

<p>Between weeks 18-20 in first pregnancies and weeks 14-16 in subsequent pregnancies.</p> Signup and view all the answers

Flashcards

Gravida

A woman who is pregnant.

Gravidity

The total number of pregnancies a woman has had, including the current one.

Para

A woman who has given birth to a viable baby (after 20 weeks gestation).

Parity

The total number of viable births a woman has had.

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Nullipara

A woman who has never given birth to a child.

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Primipara

A woman who has given birth to one child.

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Multipara

A woman who has given birth to two or more children.

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Viability

The point at which a fetus is considered capable of survival outside the womb, generally 20 weeks gestation.

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Total Weeks of Gestation

The total duration of a pregnancy, typically calculated as 40 weeks from the first day of the last menstrual period (LMP).

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Preterm

A pregnancy that ends before 37 weeks gestation but after 20 weeks.

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Term

A pregnancy that ends between 37 and 42 weeks gestation.

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Postterm/Postdate

A pregnancy that extends beyond 42 weeks gestation.

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GTPAL

A mnemonic used to summarize a woman's obstetrical history: Gravidity (number of pregnancies), Term births (number of births at 37+ weeks), Preterm births (number of births before 37 weeks), Abortions/Miscarriages (number of pregnancy losses), Living children (number of surviving children).

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Naegele's Rule

A formula used to calculate the estimated date of delivery (EDD) by adding 7 days to the first day of the last menstrual period (LMP), subtracting 3 months, and adding 1 year.

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Presumptive S/S of Pregnancy

Subjective symptoms of pregnancy that are not conclusive but suggest pregnancy.

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Probable S/S of Pregnancy

Objective symptoms of pregnancy that are more likely to indicate pregnancy but still not definitive.

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Positive S/S of Pregnancy

Objective symptoms of pregnancy that definitively confirm pregnancy.

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Quickening

The first time a pregnant woman feels fetal movement.

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Biophysical Profile (BPP)

A routine prenatal test that combines a non-stress test (NST) and ultrasound to assess fetal well-being.

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Nuchal Translucency

A prenatal screening test performed between 11 and 16 weeks gestation to detect chromosomal abnormalities.

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Progesterone

A hormone produced by the placenta that maintains pregnancy by preventing contractions and sustaining uterine growth.

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Relaxin

A hormone produced by the ovaries and placenta that relaxes smooth muscles, joints, and ligaments to facilitate stretching during pregnancy and delivery.

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Prolactin

A hormone that stimulates breast milk production.

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hCG

A hormone produced by the placenta that prevents menstruation and is the basis of pregnancy tests.

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Oxytocin

A hormone that stimulates uterine contractions and is released naturally during labor.

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Tocolytics

A medication that acts on uterine muscle to stop preterm labor.

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Terbutaline (Brethine)

A type of tocolytic medication used to suppress uterine contractions and prevent premature labor.

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Nifedipine (Procardia)

A type of tocolytic medication used to inhibit smooth muscle contraction and prevent preterm labor.

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Magnesium Sulfate

A tocolytic medication used to suppress uterine contractions and prevent preterm labor.

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Betamethasone (Celestone)

A steroid medication used to stimulate production of lung surfactant in the fetus when preterm labor is imminent.

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Study Notes

Gravida/Gravidity

  • Refers to the number of pregnancies a woman has had, including the current pregnancy.
  • Includes pregnancies ending in abortion or miscarriage.
  • Twins/triplets count as one gravidity.

Para/Parity

  • Refers to the number of viable births a woman has had.
  • Includes live births and stillbirths.
  • Twins/triplets count as one parity.

Nullipara

  • A woman who has never given birth.

Primipara

  • A woman who has given birth to her first child.

Multipara

  • A woman who has given birth to two or more children.

Viability

  • A pregnancy reaches viability at 20 weeks gestation.

Total Weeks of Gestation

  • 40 weeks

Preterm

  • A pregnancy that ends before 37 weeks gestation.

Term

  • A pregnancy that ends between 37 and 42 weeks gestation.

Postterm/Postdate

  • A pregnancy that ends after 42 weeks gestation.

GTPAL

  • A way to record pregnancy history:
    • G = Gravidity
    • T = Term births
    • P = Preterm births
    • A = Abortions/miscarriages
    • L = Living children

Naegele's Rule

  • A method to estimate the due date (EDD) by subtracting three months from the last menstrual period (LMP) and adding seven days and a year if needed.

Types of Signs/Symptoms of Pregnancy

Presumptive

  • Subjective signs; symptoms that suggest pregnancy but could also be due to other issues
    • Irregular periods(amenorrhea)
    • Fatigue
    • Breast changes (enlarged, sore)
    • Increased urination frequency
    • Nausea/vomiting (morning sickness)

Probable

  • Objective signs that are more indicative of pregnancy, but could be from other conditions
    • Positive pregnancy test
    • Enlarged abdomen
    • Changes in cervix (Goodell's, Chadwick's, Hegar's signs)
    • Fetal movement (quickening)
    • Braxton Hicks contractions

Positive

  • Definitive signs that are only possible with pregnancy
    • Fetal heart tones
    • Ultrasound visualization of fetus
    • Fetal movement palpated

Quickening

  • The first fetal movement felt by the mother.
    • Occurs between 18-20 weeks in first pregnancies (primigravidas)
    • Occurs between 14-16 weeks in subsequent pregnancies (multigravidas)

Antepartal Testing

  • Biophysical profile (BPP)
    • Non-stress test (NST)
    • Ultrasound for fetal heart rate
    • Amniotic fluid index (AFI)
    • Nuchal translucency

Healthy People 2030 Goals

  • Reduce fetal deaths at 20+ weeks.
  • Increase the proportion of pregnant women who receive adequate prenatal care.
  • Reduce preterm births.
  • Increase the proportion of women who had a healthy weight prior to pregnancy.

Maternal Hormones

  • Progesterone
  • Relaxin
  • Prolactin
  • Human Chorionic Gonadotropin (hCG)
  • Oxytocin

Tocolytics

  • Medications used to stop preterm labor
    • Terbutaline
    • Nifedipine
    • Magnesium sulfate

Betamethasone

  • Steroid used to stimulate lung development in fetuses at risk for preterm birth.

Placenta Previa

  • Placenta is abnormally located over the cervix, obstructing the birth canal.

Placenta Abruption

  • Premature separation of the placenta from the uterine wall.

Gestational Hypertension/Preeclampsia

  • High blood pressure, proteinuria (protein in urine) during pregnancy
  • Eclampsia is a serious complication that includes seizures

HELLP Syndrome

  • A serious pregnancy complication characterized by hemolysis (destruction of red blood cells), elevated liver enzymes, and low platelet count.

DIC Syndrome

  • Disseminated intravascular coagulation: A severe blood clotting disorder

Gestational Diabetes

  • High blood sugar during pregnancy

Hyperemesis Gravidarum

  • Severe morning sickness

Smoking, Alcohol, and Drug Use

  • Can negatively affect fetal development.

Abortion vs. IUFD

  • Abortion occurs before 20 weeks of gestation; intrauterine fetal death (IUFD) after.

Incompetent Cervix

  • Premature opening of the cervix during pregnancy.

TORCH Infections

  • Infections that can affect the fetus; acronym includes toxoplasmosis, other infections, rubella, cytomegalovirus, and herpes.

Group Beta Streptococcus (GBS)

  • A bacteria that can cause serious complications in newborns; antibiotics are given to prevent complications.

RhoGAM

  • Medication given to Rh-negative mothers to prevent complications related to Rh incompatibility in future pregnancies.

Fetal Movement

  • Important sign; should be assessed regularly during pregnancy.

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Description

This quiz covers essential terms related to pregnancy, including gravidity, parity, and stages of gestation. Test your knowledge on the definitions of nullipara, primipara, and multipara, as well as the meaning of viability and the GTPAL system. Ideal for those studying obstetrics and maternal care.

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